Provider Demographics
NPI:1093166449
Name:RELIABLE MEDICAL RESPONSE, LLC
Entity Type:Organization
Organization Name:RELIABLE MEDICAL RESPONSE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:ORSBURN
Authorized Official - Last Name:HUGHES
Authorized Official - Suffix:JR
Authorized Official - Credentials:NREMT
Authorized Official - Phone:813-759-3283
Mailing Address - Street 1:1534 BLUE MAGNOLIA RD
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:FL
Mailing Address - Zip Code:33510-4024
Mailing Address - Country:US
Mailing Address - Phone:813-759-3283
Mailing Address - Fax:
Practice Address - Street 1:1534 BLUE MAGNOLIA RD
Practice Address - Street 2:
Practice Address - City:BRANDON
Practice Address - State:FL
Practice Address - Zip Code:33510-4024
Practice Address - Country:US
Practice Address - Phone:813-759-3283
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-27
Last Update Date:2016-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL5250-675341600000X, 3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
No3416L0300XTransportation ServicesAmbulanceLand Transport